| NPI | 1548473010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD H71916) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS014095) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-11-21 |